Aldie Community Bible School

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Vacation Bible School Registration Form

Child's Full Name*

Date of Birth

Age

Grade Completed

Siblings attending? Please list names and ages below.

Parent/Guardian Name

Address

,

Home Phone(
)
-

Cell Phone(
)
-

Do you accept text messages?

Email Address

Emergency Contact Name(s) and Phone Number(s)

Special Needs / Allergies / Other Concerns

Photo Release

By filling the signature box below I agree to the following release of information regarding my child:The church may feature my child in broadcast and print media, on the church website, and in publications and programs.

Date

Parent Signature

Friday Picnic Lunch

On Friday we will have a special presentation beginning at 11:30 followed by a picnic lunch.We will provide the hotdogs but ask for families with last names beginning (A - M) to bring side dishes and families with the last names (N - Z) to bring desserts.If your family will be attending, please fill out the form below.

Please bring your food by the kitchen when you drop off your child for VBS.